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Maine rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.91 / $1,548.91 / $1,729.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.48 / $1,609.14 / $2,458.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.13 / $1,801.51 / $2,580.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.15 / $1,722.14 / $2,641.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.91 / $1,548.91 / $1,729.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.90 / $1,774.80 / $2,391.98